Multimodal technology in the correction of post-stroke motor disorders

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OBJECTIVE

To evaluate the effectiveness of a comprehensive rehabilitation program with the inclusion of programmable FES and BFB-stabilometric training in patients with post-stroke statolocomotor disorders in the late recovery period of ischemic stroke (IS).

MATERIAL AND METHODS

The study included 120 patients in the late recovery period of IS, 57 women and 63 men, average age 58.4±6.4 years. The duration of the stroke was 228.59±31.9 days. The main group (MG) included 30 patients who underwent FES and BFB-stabilometric training. Comparison group 1 (CG1, n=30) received computer stabilometric training with BFB. Comparison group 2 (CG2, n=30) received FES. The control group (CG3, n=30) received a standard rehabilitation program. MR programs were carried out for all patients in the amount of 15 procedures every other day (5 weeks).

RESULTS

The complex of rehabilitation measures with the inclusion of FES and BFB-stabilometric training significantly improve the function of walking in the form of restoration of the motor stereotype by the 5th week of the study, which was confirmed by neurological scales and stabilometry data.

CONCLUSIONS

The inclusion of FES and BFB-stabilometric training methods in the rehabilitation process leads to earlier motor adaptation of the patient, restoration of impaired balance function and quality of life, which is associated with an increase in plastic and associative processes of the brain.

Keywords:

stroke

rehabilitation

motor disorders

postural stability

functional electrical stimulation

biofeedback

stabilometric training

Authors:

Petrova L.V.

Moscow scientific and practical center of medical rehabilitation, restorative and sports medicine of the Department of health of the city of Moscow

Kostenko E.V.

Pogonchenkova I.V.

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

SPIN RSCI: 8861-7367
ORCID: 0000-0001-5123-5991

Rylsky A.V.

Moscow scientific and practical center of medical rehabilitation, restorative and sports medicine of the Department of health of the city of Moscow

Kamchatnov P.R.

Pirogov Russian National Research Medical University

SPIN RSCI: 9240-6754
Scopus AuthorID: 6602401209
ORCID: 0000-0001-6747-3476

Received:

07.11.2022

Accepted:

17.12.2022

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